Final Exam NU 664 Set 1 UPDATED Exam
Questions and CORRECT Answers
ARRN - CORRECT ANSWER- Clear expectations for licensures accreditation certification
and education for all APRNs
Standards/scope of practice - CORRECT ANSWER- Licensed and independent practitioners,
assess, diagnosis and treat and manage acute episodic and chronic illnesses.
Statutory Law - CORRECT ANSWER- States have a duty to protect those who receive
nursing care
Role of NONPF - CORRECT ANSWER- the National Organization of Nurse Practitioner
Faculties. This is the only organization specifically dedicated to promoting and supporting
high quality nurse practitioner education. The NONPF provides ongoing support to NP
educators through establishing competencies, methods of evaluation, and strategic
partnerships.
The NONPF primarily concentrates - CORRECT ANSWER- on the development of
standards necessary to foster optimum graduate educational programs. This network
continually collects data and utilizes expert knowledge of its membership to seminally
publish updated curricular frameworks
Clinical interview terms, techniques, and goals - CORRECT ANSWER- CC, HPI, PMH,
Assessment, diagnosis, structured and unstructured. MMSE, active listening.
Case formulation - CORRECT ANSWER- Theoretically based explanation or
conceptualization of the information obtained from a clinical assessment which offers a
hypothesis and provides a framework of treatment.
Grief process and treatment - CORRECT ANSWER- Kubler Ross: denial, anger, bargaining,
depression, and acceptance.
Instrumental: problem solving
Intuitive emotional
,Risk assessment (suicide, self-harm, homicide, etc.) - protective and risks factors -
CORRECT ANSWER- Highest risk group- white, middle-aged males
Next highest- aged 85 and older
Screening tool- Ask Suicide-Screening Questions (ASQ) - CORRECT ANSWER- made of 4
questions to ask youth in medical settings
Common screening tools - CORRECT ANSWER- PHQ-9 for depression
Columbia-Suicide Severity Rating Scale (C-SSRS)
SAFE-T (Suicide Assessment Five-Step Evaluation and Triage)
Highest risk for self-injury - CORRECT ANSWER- socioeconomic disadvantage,
depression, substance abuse, and anxiety
Self-injury increases - CORRECT ANSWER- risk of later suicide
Primary prevention - CORRECT ANSWER- concerned with the prevention of the onset of
disease; goal is to reduce the incidence of disease; e.g. vaccinations
Secondary prevention - CORRECT ANSWER- concerned with trying to detect a disease
early and prevent it from getting worse; e.g. regular exams and screening tests
Tertiary prevention - CORRECT ANSWER- concerned with reducing the impact of an
ongoing illness or injury that has lasting effects; e.g. cardiac or stroke rehab programs,
support groups
Levels of prevention - CORRECT ANSWER- primary, secondary, tertiary - this is important
for public patient education/screening/epidemiological measures, and promoting health.
Neuroanatomy - CORRECT ANSWER- neurotransmitters, brain plasticity, epigenetics, major
areas of the brain such as the amygdala, prefrontal cortex, hypothalamus
, Dopamine - CORRECT ANSWER- responsible for drive, motivation, and reward, inhibition
of prolactin, controls motor (imbalance causes Parkinson's, extapyramidal symptoms)
Serotonin - CORRECT ANSWER- satisfaction, sociality, lowers anxiety and impulsivity,
decreases sex drive, 90% serotonin in GI tract
-Too much- bleeding, GI motility, nausea
- Zofran blocks serotonin
Norepinephrine - CORRECT ANSWER- concentration, attention, vigilance, energy,
tachycardia, HTN, glucose to essential organs
-Fear increases NE to brain, epinephrine to blood
-Fight or flight
Glutamate - CORRECT ANSWER- being "on", excitatory (think gluta-MATE mating)
GABA - CORRECT ANSWER- being "off", inhibitory, relaxation, euphoria, decreases
muscle activity, slows breathing, decreases anxiety and seizures (think gabapentin)
Acetylcholine - CORRECT ANSWER- bradycardia, GI motility, salivation, lacrimation,
urination, sexual arousal, muscle contraction
- In the hippocampus- learning, memory, awakeness, attention
Histamine - CORRECT ANSWER- Hayfever
Itching
Sleeping
Think Benedryl helps with theses (ANTIhistamine)
Limbic System - CORRECT ANSWER- · emotion
• Amygdala
· Almond shape
· Found in temporal lobe
· Part of limbic system
